Individual
AARON I RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 CIVIC CENTER DR STE 100, SAN RAFAEL, CA 94903-4151
(628) 877-0040
Mailing address
55 CORTE REAL APT 20, GREENBRAE, CA 94904-2145
(510) 290-2593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66738
CA
106S00000X
Behavior Technician
RBT-17-31955
CA
Other
Enumeration date
09/11/2020
Last updated
09/11/2023
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